Document Number: MZK 001

MZIMKHULU Revision: 1
MINING Effective Date: 1 December 2019
Status: Current

ENGINEER’S TMM TAGGING & APPROVAL FORM

ADT

SPECIAL INSTRUCTION
1. The following documentation must accompany this tagging inspection
 Brake test certificate
 Fire extinguisher / Fire suppression system service certificate
 PDS installation
2. Only TMM and equipment approved by the engineer or a person delegated will be used in the mine premises.
3. This inspection and approval form must be kept on machine file.
Vehicle Information
Vehicle Model
Fleet Number
Site
Date
Next Service
Hour Meter Reading

Tyre Inspection
No Inspection Survey Results Comments

FL FR
1 General Condition ML MR
RL RR

Inspection
No IN ORDER
Inspection Comments
YES NO

1 Air Conditioner

2 Amber Strobe Light

3 Articulation Lock

4 Batteries And Clamps

5 Bin Up Alarm Or Lights

6 Body Panels

7 Brake Test

8 Check Access Steps And Handrails

9 Check Articulation

10 Check Coolant Leaks

11 Check Door Latches And Sealing Rubbers

12 Check Engine Belly Plate

13 Check Engine Breather And Piping

14 Check Engine Filler Cap

15 Check Engine Oil Leaks

16 Check Final Drive Oil Levels

17 Check Hoist Cylinders Bearings/Leaks

18 Check Hydraulic Oil Leaks
 Document Number: MZK 001
MZIMKHULU Revision: 1
MINING Effective Date: 1 December 2019
Status: Current

ENGINEER’S TMM TAGGING & APPROVAL FORM

ADT

Inspection
No IN ORDER
Inspection Comments
YES NO
19 Check Hydraulic Piping Condition And Clamps

20 Check Machine For Body Damage

21 Check Oscillation

22 Check Park Brake

23 Check Radiator Pressure Cap

24 Check Steering Circuit Oil Level

25 Check Steering Cylinders Bearings /Grease / Damage

26 Check Suspension

27 Check Transmission Controls

28 Check Transmission Oil Leaks

29 Check Wheel Studs And Nuts

30 Cooling Fan And Motor For Damage/ Leaks

31 Dash

32 Diesel Cap / Wiggins Nozzle

33 Door Windows

34 Electrical Windows

35 Elevation Lock

36 Emergency Brakes

37 Emergency Shutdown

38 Emergency Steering System

39 Exhaust/Turbo System Leaks

40 Fan Belts, Guards And Pulleys

41 Fire Extinguisher

42 Fire Suppression And Bracket

43 Fleet Number

44 Floor Mat

45 Gauges / Warning Lights

46 General Condition (Clean)

47 Grill

48 Head Lights

49 Heater

50 Hooter

51 Indicators

52 Inspect Outer Air Cleaner

53 Intake piping and clamps

 Document Number: MZK 001
MZIMKHULU Revision: 1
MINING Effective Date: 1 December 2019
Status: Current

ENGINEER’S TMM TAGGING & APPROVAL FORM

ADT

Inspection
No IN ORDER
Inspection Comments
YES NO
54 Lockout Switch And Lock
55 Mirrors And Brackets

56 Mud Guards

57 PDS

58 Pre-Use Book

59 Rear Window

60 Reflective Stripes

61 Reverse Hooter

62 Roof Light

63 Safety Belts

64 Seats And Movement

65 Stop Blocks

66 Taillights

67 Two Way Radio

68 Windscreen

69 Wiper Motor & Wiper Blades

Damages Survey
Left Right

No Damages No Damages
1 1

2 2

3 3

4 4

5 5

6 6

7 7

8 8
 Document Number: MZK 001
MZIMKHULU Revision: 1
MINING Effective Date: 1 December 2019
Status: Current

ENGINEER’S TMM TAGGING & APPROVAL FORM

ADT

Top View Damages

No Damages No Damages
1 5
2 6
3 7
4 8

Vehicle presented by Name: Signature:

Name:
Signature:
Vehicle inspected by
Date:

Vehicle is declared Fit to work Not Fit to Work

I ___________________________ declare that, I have inspected the above TMM on the ____/_____/20__
and found it fit /unfit to work at the mine.

GES Signature: ………………………………... Date: …………………….

Engineer Signature: …………………………. Date: …………………….